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目的:了解喉癌患者术后自我护理能力与生活质量的现状、两者之间的相关性及生活质量的影响因素，为临床制订有针对性的护理措施提供依据。方法:采用便利抽样法，选取2018年1—12月在首都医科大学附属北京同仁医院耳鼻咽喉头颈外科首次行喉切除术的126例患者为研究对象。采用自我护理能力测定量表（ESCA）和华盛顿大学生活质量（UW-QOL）量表对其进行调查。结果:126例喉癌患者术后ESCA总分为（110.35±16.05）分，UW-QOL量表总分为（557.32±70.00）分。患者的ESCA总分及各维度得分均与UW-QOL量表总分呈正相关（n P<0.01）。文化程度和自我护理能力是喉癌患者术后生活质量的影响因素（n P<0.01），可解释总变异的72.6%。n 结论:喉癌患者术后自我护理能力处于中等水平，患者的自我护理能力越好则生活质量越高。因此，在今后的临床工作中，要不断加强喉癌患者术后自我护理能力，进而提高患者的生活质量。“,”Objective:To understand the current status of postoperative self-care ability and quality of life in patients with laryngeal neoplasms, the correlation between them and the influencing factors of quality of life, so as to provide guidance for clinical formulation of targeted nursing measures.Methods:Using the convenient sampling method, a total of 126 patients who underwent laryngectomy for the first time in Department of Otorhinolaryngology and Head and Neck Surgery in Beijing Tongren Hospital, Capital Medical University from January to December 2018 were selected as the research objects. The Exercise of Self-Care Agency Scale (ESCA) and University of Washington-Quality of Life (UW-QOL) scale were used to investigate them.Results:The total score of ESCA of 126 patients with laryngeal neoplasms after operation was (110.35±16.05) , and the total score of UW-QOL scale was (557.32±70.00) . The total score of ESCA and scores of all dimensions were positively correlated with the total score of UW-QOL (n P<0.01) . Education level and self-care ability were the influencing factors of postoperative quality of life of patients with laryngeal neoplasms (n P<0.01) , which could explain 72.6% of the total variation.n Conclusions:Postoperative self-care ability of patients with laryngeal neoplasms is at a moderate level. And the better the self-care ability of patients, the higher the quality of life.